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Miscellaneous: Claims Adjustments
Claims
Claims Adjustments
Claims
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CHARGES
COB
DATE
DIAGNOSIS
MEDICARE
PLACE
PROCEDURE
PROVIDER
SUBSCRIBER
Y
C
D
I
A
G
N
O
S
I
S
T
R
V
M
Q
T
C
J
J
U
K
J
I
T
V
B
B
D
R
B
X
P
M
P
H
U
K
O
E
S
N
S
E
N
Q
L
H
T
D
C
I
E
R
V
E
L
N
B
I
R
A
G
A
L
Y
C
D
D
V
I
S
R
C
E
T
A
A
M
O
B
O
A
I
T
Q
Y
D
L
R
E
B
H
D
A
V
T
W
G
P
R
O
C
E
D
U
R
E
F
Z
P
B
M
M
P
H
Z
H
T
V
D
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